RE/JA
(03.01.2013) www.mida.gov.my
APPLICATION FOR INCENTIVE AND / OR EXPATRIATE POSTS TO
GENERATE ENERGY USING RENEWABLE ENERGY RESOURCES
(I) Type of application (Please tick (  ) where relevant):
(a) Incentive
(i) Pioneer Status
or
(ii) Investment Tax Allowance
and/or
(b) Expatriate Posts
A. PARTICULARS OF APPLICANT/COMPANY
1. Name of applicant/company and correspondence address
_________________________________________________________________
_________________________________________________________________
Telephone No: Fax No: Contact person: Designation:
_____________ _____________ _______________ _____________
2. (i) Name of company which will undertake the energy generation project using renewable energy resources
______________________________________________________________
(ii) Date of incorporation: ___________________________
(iii) Company registration no. : ___________________________
(iv) Income tax reference no. : ___________________________
(v) Income tax branch office : ___________________________

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(vi) Address of registered office:
______________________________________________________________
______________________________________________________________
Telephone No.: ________________ Fax No: ______________
3. Location of proposed Generating Station:
__________________________________________________________________
__________________________________________________________________
4. Incentives approved by other government agencies (if any):
5. Particulars of Directors
Name and residential address Nationality % shares held in the company
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B. ENERGY GENERATING ACTIVITIES USING RENEWABLE ENERGY
RESOURCES a) List the types of renewable energy resources to be used.



Palm Oil Mill / Estate Waste
Rice Mill Waste
Sugar Cane Mill Waste

Timber / Sawmill waste



Paper Recycling Mill Waste
Municipal Solid Waste
Biogas

Landfill

Palm Oil Mill Effluent (POME)

Animal Waste

Others_________________________________________

Hydro Power (not exceeding 10 megawatts)

Solar Power b) State the name of companies that will be supplied with the energy generated
__________________________________________________________
__________________________________________________________ c) Types of energy form to be generated




Electricity
Steam
Chilled Water
Heat
C. ENERGY GENERATION INFORMATION
Energy Generation capacity
In-house use
Available for sale
Quantity %
Electricity Kw MD
Steam
Chilled
Water
Heat
Ton/hour
RT/hour
GJ/hour
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2. Boiler efficiency and type
____________________________________________________________________
3. Size of Inter Connection Facility (kW)
____________________________________________________________________
D. INFORMATION ON RENEWABLE ENERGY RESOURCES
1. Type and amount of renewable energy resources used for energy generation i) _________________________________________________________ ii) _________________________________________________________ iii) _________________________________________________________
2.
Sources of renewable energy iv) _________________________________________________________
3. Quantity of renewable energy resources to be used (monthly)
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E. PROJECT COST
TOTAL
RM
1. Fixed assets a. Land (specify area)
:……………………….. b. Generating Station building (specify area):
…………………………….. c. Plant and machinery d. Other equipment
Total Fixed Assets
2. Pre-operational Expenditure
Working capital
Total
Note : If the land, generating station, plant and machinery are to be rented/leased, indicate the annual cost of rental/lease.
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F. FINANCING
………………% Foreign
RM
1. Authorised capital
2. (i) Paid-up capital
(a) Malaysian Individuals
Bumiputra
Non-Bumiputra
(b) Companies incorporated in Malaysia*
(c) Foreign individuals/company
(Specify name and country)
Total (a), (b) & (c)
* For 2 (b), provide equity structure as follows:-
Name of company
………………%
Bumiputera ……………….%
Non Bumiputera
………………%
Name of company
Bumiputera
Non Bumiputera
Foreign
RM
3. Loan
Foreign
4. Other sources
Total
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%
100
…………%
…………%
…………%
…………%
%
100

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G. MANPOWER
Please fill in where relevant
Please note that the information is required to enable the government to undertake the appropriate manpower planning to meet the specific manpower needs of companies proposing to establish projects in Malaysia.
Employment
category
Malaysian
Full-time employment
Foreign
Total
Malaysian Foreign
Degree
Diploma/
Certificate
Others Degree
Diploma/
Certificate
Others
1. Managerial staff with:
(a) Technical qualification
(b) Other qualifications/ experiences
2. Technical and supervisory staff with:
(a) Technical qualification
(b) Other qualifications/ experiences
3. Sales, clerical and other workers
4. Substation workers
(a) Skilled
(b) Unskilled
Total
Note:
* If there is more than one location, please provide the same information on a separate sheet of paper
1. Percentage of science and technical staff having degrees or diplomas with a minimum of 5 years experience (of the total workforce)
2. Number of Staff with Post Graduate (ie. Masters/PhD etc) qualifications
3. In addition to the full-time employees as mentioned in the above tables, please provide the number of workers which are outsourced (not under the company’s payroll)
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:
:
:
______ %
______
______

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H. EMPLOYMENT BY INCOME
Number of Persons Employed by Average Monthly Salary* (RM)
Employment
category
1. Managerial and
Professional
<3,000 3,000-<5,000 5,000-<10,000 10,000 and above
Malaysian
Foreign
National
Malaysian
Foreign
National
Malaysian
Foreign
National
Malaysian
Foreign
National
2. Technical and supervisory staff with:
(a) Technical qualification
(b) Other qualifications/ experiences
3. Sales, clerical and other workers
4. Substation workers
(a) Skilled
(b) Unskilled
Total
Note:
* include wages, salaries, bonuses, social insurance contribution and all employee benefits.
If there is more than one location, please provide the same information on a separate sheet of paper.
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I. MAJOR MACHINERY AND EQUIPMENT
1. Machinery and equipment
Description Unit New or used
Function
J. PRODUCTION
Energy
Electricity
(kw)/(kwh)
Chilled water
(RTh)
Steam
(Tons)
Heat
(GJ)
Others
Year 1
Quantity Value
Year 2
Quantity Value
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Country of origin
Cost
(RM)
Year 3
Quantity Value

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K. ENERGY PRICING
Item % of ex-factory price of each type of energy
Product :…………………………
1. Cost of renewable energy resources
2. Cost of Labour
3. Depreciation
4. Interest payments, indirect taxes, quit rent & etc
5. Administrative and marketing cost
6. Cost of technology (includes royalty, management services and other related costs)
7. Energy Generation Profit
Total
L. ESTIMATED LABOUR COST AND EARNINGS
A. ESTIMATED LABOUR COST - Salaries and Wages*
Year in Operation Year 1 Year 2
100
Year 3
Salaries and Wages (RM)
Note:
*Include wages, salaries, bonuses, social insurance contribution and all employee benefits
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B. ESTIMATED EARNINGS
Year in Operation Year 1 Year 2 Year 3
(a) Estimated Earnings before Interest, Tax,
Depreciation & Amortization (EBITDA) (RM)
(b) Estimated Net Income After Tax (RM)
- Held in Malaysia as reserves (%)
- Remitted out of Malaysia (%)
- Reinvested in Malaysia (%)
M. DETAILS OF EXPATRIATE POSTS
Please complete this section if the applicant is applying for expatriate posts. Please exclude the expatriate posts that have been directly applied for to the Immigration
Department or any other department.
1. New/additional posts applied for
Designation*
Type of post
(key/term post)
Number
Duration
(years)
Note:
* Please list according to priority
Proposed minimum salary (RM)
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For each expatriate post applied for, please submit the following details:
(a) Job function
(b) Minimum academic/professional qualification required
(c) Minimum period of experience required
(d) Justification for request
(e) Proposed training scheme for Malaysian personnel to fill the relevant posts
2. Existing/approved posts (if any)
Designation Name and nationality
Duration approved
Date post filled
Expiry date
Basic salary paid
(RM)
For each existing/approved expatriate post, please submit the following details:
(a) Name of Malaysian who has taken over/will take over the post
(b) If the post has not been/will not be Malaysianised, state reasons and the co mpany’s plan on the post.
3. Please attach the organisational structure of the company indicating the positions of the expatriate posts.
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N.
I ,
DECLARATION
, the Managing Director of
(i) hereby declare that to the best of my knowledge, the particulars furnished in this application are true.
(ii)* have engaged/is planning to engage the services of the following consultant for my application :
Company Name :
Address :
Contact Person :
Designation :
Telephone no.
Fax no.
:
:
E-mail :
I take full responsibility for all information submitted by the consultant(s).
Date (Signature)
(Company’s Stamp or Seal)
*Please complete this section if the company has engaged/is planning to engage the services of consultant(s) to act on behalf of the company. Please provide information on a separate sheet of paper if space is insufficient
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